Ndong I, Gloyd S, Gale J
Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle.
Int J Epidemiol. 1994 Jun;23(3):536-9. doi: 10.1093/ije/23.3.536.
Infant mortality rates have been widely used as indicators of health status and the availability, utilization and effectiveness of health services. Two principal sources of data for infant mortality rates are vital registers and censuses. This study was designed to evaluate the accuracy of vital registers as sources of data for infant mortality rates in Cameroon.
A household census of births and infant deaths that occurred in Buea Subdivision between 1 November 1991 and 31 October 1992 was conducted to determine the proportion that were registered and the reasons why the remainder were not registered.
The registration coverage was found to be 62% for births and 4% for infant deaths. The most frequently reported reasons for not registering births were lack of money, lack of time and a complicated registration procedure. For infant deaths the reasons were lack of knowledge and no perceived benefits.
Vital registers of birth and death are not an accurate source of data for infant mortality rates in Cameroon. Motivation for birth and death registration appear to be dependent on the perceived benefits. A mechanism of registration that uses medical institutions may substantially increase registration coverage for births and infant deaths.
婴儿死亡率一直被广泛用作健康状况以及卫生服务的可及性、利用情况和有效性的指标。婴儿死亡率数据的两个主要来源是人口动态登记和人口普查。本研究旨在评估喀麦隆人口动态登记作为婴儿死亡率数据来源的准确性。
对1991年11月1日至1992年10月31日期间在布埃亚分区发生的出生和婴儿死亡情况进行了一次家庭普查，以确定登记的比例以及其余未登记的原因。
出生登记覆盖率为62%，婴儿死亡登记覆盖率为4%。未登记出生最常报告的原因是缺钱、没时间和登记程序复杂。对于婴儿死亡，原因是缺乏认识和认为没有好处。
喀麦隆出生和死亡的人口动态登记并非婴儿死亡率数据的准确来源。出生和死亡登记的积极性似乎取决于所感知到的好处。利用医疗机构的登记机制可能会大幅提高出生和婴儿死亡的登记覆盖率。
